title: The relationship between usage intention and adoption of electronic health records at primary care clinics.
abstract: OBJECTIVE
  Despite of emerging evidence that electronic health records (EHRs) can improve the clinical quality, enhances patient safety and efficiency. Most physicians in primary health care clinics in the Taiwan do not currently adopt EHR at their clinic practices. We aim to measure the relationship between usage intention and adoption behavior.
  
  
  METHODS
  We used structured questionnaires distributed both EHRs adopter and non-adopter group to the primary health care physicians which participated in the DOH project to establish the information exchange environment across Taiwan. The response rate of adopter and non-adopter is 54.7% and 55.0% respectively.
  
  
  METHODS
  EHRs adoption behavior.
  
  
  RESULTS
  The EHRs adopter group has higher intention than non-adopter (p=0.003). From the result of logistic regression analyses, we found the key factors affecting physicians' adoption pattern were intention to use (OR: 2.85; 95% CI: 2.30-3.54). In addition, higher perceived usefulness (OR: 1.29; 95% CI: 1.06-1.56) and perceived ease to use (OR: 1.48; 95% CI: 1.22-1.79) increase adoption of EHR found.
  
  
  CONCLUSIONS
  The intention to use EHR, perceived usefulness and ease to use of primary care physicians were found as key factors influencing EHRs adoption. Thus, we suggest that government should promote the potential benefits of EHR and enhance physicians' willingness to adopt the EHRs at their clinic practices.
authors.affiliation: Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taiwan. Electronic address: usman.iqbal85@gmail.com.
authors.forename: Usman
authors.initials: U
authors.lastname: Iqbal
authors.forename: Cheng-Hsun
authors.initials: CH
authors.lastname: Ho
authors.forename: Yu-Chuan Jack
authors.initials: YC
authors.lastname: Li
authors.forename: Phung-Anh
authors.initials: PA
authors.lastname: Nguyen
authors.forename: Wen-Shan
authors.initials: WS
authors.lastname: Jian
authors.forename: Hsyien-Chia
authors.initials: HC
authors.lastname: Wen
mesh_terms: D004059:Diffusion of Innovation; D057286:Electronic Health Records; D011320:Primary Health Care / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D013624:Taiwan
keywords: EHR adoption; EHR adoption behavior; Electronic health records; Health IT; Meaningful use